Jayan Thomas LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JAYAN THOMAS LCSW LLC

Practice address

13113 Eastpoint Park Blvd Ste G
Louisville, KY 40223-4191

Phone

(502) 805-5858

Fax

(502) 805-5859

NPI assigned

Nov 21, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jayan Thomas

Title

President

Phone

(502) 805-5858

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Dustin Sevier, LCSW

  • Clinical Social Worker
  • Louisville, KY
  • NPI 1467008995
  NPD
• Mary Jean Kellett, LCSW

  • Clinical Social Worker
  • Louisville, KY
  • NPI 1912055054
  NPD (past)
• Suzann O'Koon, PHD

  • Psychologist
  • Louisville, KY
  • NPI 1710954086
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1386280683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 BROWNSBORO GLEN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411196",
            "telephone_number": "502-805-5858",
            "fax_number": "502-805-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13113 EASTPOINT PARK BLVD STE G",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234191",
            "telephone_number": "502-805-5858",
            "fax_number": "502-805-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYAN THOMAS LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JAYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-805-5858"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100187730",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jayanthomas@counselingsecure.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliant Email Service that allows for PHI to be sent securely",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business E-mail",
            "address_1": "13113 Eastpoint Park Blvd Ste G",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402234191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Javed, MD
• Mahsa Javid, M.D. D.PHIL F.R.C.S.
• Michaela Javier, DPT
• Theresa Bacala Javier, M.S. CCC SLP
• Shad Jawaid, MD
• Danielle Pauline Jayanty, MD
• Nandaka A Jayaweera, D.M.D.
• Lauren Ashton Jaynes, FNP-C
• Hannah Olivia Jazdzewski, MSN, AGPCNP
• JB Infusion Solutions

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.